Michael Elizabeth Ellis, RBT

NPI #1679066286 in Jacksonville, Arkansas

Provider Information

NPI Number: 1679066286
Entity Type: Individual
Name: Michael Elizabeth Ellis, RBT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Jun 8, 2018
Last Updated: Jun 8, 2018

Practice Location

Address: 909 W MAIN ST STE 4
City: Jacksonville
State: Arkansas
ZIP Code: 72076-4025
Phone: (877) 315-8080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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